Individual provider Active NPI

Maria Lynne Gahry, DNP, FNP-BC

  • Family Nurse Practitioner
  • Ann Arbor, MI
National Provider Identifier
1326407149
Registry record updated Feb 22, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
4704273999 Issued in MI
Practice address
3131 Professional Dr
Ann Arbor, MI 48104-5128
Phone
(734) 995-3200
NPI assigned
Feb 22, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 22, 2016

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 4704273999 MI Primary

Addresses

Primary practice location

3131 Professional Dr
Ann Arbor, MI 48104-5128

Mailing address

3131 Professional Dr
Ann Arbor, MI 48104-5128
Phone (734) 995-3200

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160310000467 MI Practitioner - Nurse Practitioner 9133425572 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Bio Energy Medical Center, PCGroup PAC ID 9739220047, 3 clinicians

Practice addresses (Care Compare)

4201 Varsity Dr
Suite a
Ann Arbor, MI 48108-5005
Phone (734) 995-3200

4201 Varsity Dr a
Ann Arbor, MI 48108-5005

Hospital & facility affiliations

  • Trinity Health Ann Arbor Hospital Hospital, Ann Arbor, MI, CCN 230156
  • Trinity Health Livingston Hospital Hospital, Howell, MI, CCN 230069
  • University of Michigan Health System Hospital, Ann Arbor, MI, CCN 230046
  • St Joe Mercy Hospital System Livonia Hospital, Livonia, MI, CCN 230002
  • Beaumont Hospital - Dearborn Hospital, Dearborn, MI, CCN 230020

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
4704273999MIMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Bio Energy Medical Center, PC CurrentSince Mar 1, 2016 Accepting new patients

Locations

3131 Professional Dr
Ann Arbor, MI 48104
Phone (734) 995-3200

4201 Varsity Dr
Ste A
Ann Arbor, MI 48108
Phone (734) 995-3200

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 6

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1456099200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1456099200000",
    "number": "1326407149",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3131 PROFESSIONAL DR",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "481045128",
            "telephone_number": "734-995-3200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3131 PROFESSIONAL DR",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "481045128",
            "telephone_number": "734-995-3200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GAHRY",
        "first_name": "MARIA",
        "middle_name": "LYNNE",
        "name_prefix": "Dr.",
        "credential": "DNP, FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-02-22",
        "last_updated": "2016-02-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MI",
            "license": "4704273999",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ann Arbor, MI

Sources for this page

Verify at the official NPI Registry.